343624247-6-17-2025-03-CC-JBMR-DHTVL8-20250620163131

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343624247
Report Date: 06/17/2025
Date Signed: 06/17/2025 11:03:52 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2025 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 03-CC-20250429081801

FACILITY NAME:	EXCELSIOR PRESCHOOL GOLD RIVER LLC		FACILITY NUMBER:	343624247
ADMINISTRATOR:	INGRAM, MICHELLE		FACILITY TYPE:	850
ADDRESS:	2317 GOLD MEADOW WAY		TELEPHONE:	(916) 730-8757
CITY:	GOLD RIVER	STATE: CA	ZIP CODE:	95670
CAPACITY:	118	CENSUS: 40	DATE:	06/17/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Michelle Ingram		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not maintain a safe facility environment for children in care
Staff did not provide adequate meals to children in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Michelle Ingram (Director), for the purpose of conducting an unannounced complaint investigation inspection pertaining to the above allegations. The purpose of today's inspection was explained. During this investigation, LPA conducted interviews, observed care, and obtained relevant documentation.

Witness statements, LPA observations, and document reviews failed to corroborate the allegation that the facility failed to provide a safe environment. Witness statements were concistent in assessing the facility as a safe environment. On 05/02/2025, LPA observed one playground garden box with food plants growing in it. This was near the back fence. LPA also observed two empty playground garden boxes near the back corner of the playground. LPA observed these were relatively tall and had some dirt in them. LPA did not observe any loose parts, nails, or sharp or broken objects in the boxes.

Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20250429081801

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: EXCELSIOR PRESCHOOL GOLD RIVER LLC	FACILITY NUMBER: 343624247
	VISIT DATE: 06/17/2025

NARRATIVE

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Continued from LIC 9099.

LPA observed multiple classes go out to the large playground and did not observe any children approach the empty garden boxes. On 06/17/2025, LPA observed the garden boxes had been removed. LPA observed documentation that they had been donated. LPA reviewed injury/ouch reports and did not observe any injuries caused by access to the empty garden boxes. The empty garden boxes did not appear to pose a hazard to children in care.

Witness statements, LPA observations, and document reviews failed to corroborate the allegation that staff did not provide adequate meals to children in care. Witness statements regarding meals provided to children were consistently positive and did not support the allegation that meals were inadequate. On 05/02/2025 and 06/17/2025, LPA observed the posted menu and observed staff prepare and serve meals to children. The meals served aligned with the posted menu. LPA observed leftover foods and milk from multiple classrooms. LPA also observed when children asked for more food, it was readily provided to them. There were witness statements that on one morning, the staff did not offer milk to children until breakfast was already underway. Though this was unfortunate, the children were offered the milk during the meal. Despite this single slight delay in children being offered milk, there is not a preponderance of evidence to support the allegation.

Although the allegations may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Michelle Ingram. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025

LIC9099 (FAS) - (06/04)

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